MEDICARE: BRN CORPORATION

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	283X00000X	Rehabilitation Hospital
2	282E00000X	Long Term Care Hospital	2292	MA

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	38900	OTHER	MA	CIGNA/HEALTHSOURCE
2	0009417	OTHER	MA	NEIGHBORHOOD HEALTH PLAN
3	0081090	OTHER	MA	AETNA/US HEALTHCARE
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	2222203410	OTHER	MA	BLUE CROSS (OUTPATIENT)
6	2222203401	OTHER		BLUE CROSS (INPATIENT)
7	5280218	OTHER	MA	EVERCARE
8	907586	OTHER	MA	TUFTS ASSOC HEALTH PLAN (OUTPATIENT)
9	96031	OTHER	MA	CIGNA/HEALTHSOURCE(OUTPATIENT)
10	982299	OTHER	MA	TUFTS ASSOC HEALTH PLAN
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	AA115113	OTHER	MA	HARVARD PILGRIM HEALTHCARE
13	2222203402	OTHER	MA	BLUE CROSS IP LEV 2

NPI Number	:	1235301797
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRN CORPORATION

Provider Business Mailing Address
First Line	:	25 RAILROAD SQ
Second Line	:	SUITE 503
City	:	HAVERHILL
State	:	MA
Zip	:	01832-5721
Country	:	US
Telephone Number	:	978-556-5907
Fax Number	:	978-521-8818

Provider Business Practice Location Address
First Line	:	145 WARD HILL AVE
Second Line	:
City	:	BRADFORD
State	:	MA
Zip	:	01835-6928
Country	:	US
Telephone Number	:	978-372-8000
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ALFRED J ARCIDI
Credential	:
Telephone Number	:	978-556-5858

Provider Enumeration Date	:	03/25/2008
Last Update Date	:	08/21/2024

145 WARD HILL AVE , WHITTIER REHABILITATION HOSPITAL
BRADFORD, MA
01835-6928

Practice Phone: 978-372-8000
Practice Fax: 978-374-4423